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MONCRIEF CANCER FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MONCRIEF CANCER FOUNDATION (EIN 75-2429817)
Tax period
2012-09-01 to 2013-08-31
Filed
2014-04-14
IRS object ID
201401049349300605
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-04-14T09:33:45-05:00Timestamp
Tax Period End Date2013-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN750786316EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WEAVER AND TIDWELL LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12821 W 7TH STREET SUITE 700AddressLine1
CityFORT WORTHCity
StateTXState
ZIP Code76107ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752429817EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MONCRIEF CANCER FOUNDATIONBusinessNameLine1
Business Name Line2C/O UT SOUTHWESTERN MEDICAL CENTERBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlMONCNameControl
Phone2146483572Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15323 HARRY HINES BLVDAddressLine1
CityDALLASCity
StateTXState
ZIP Code75390ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameARNIM DONTESName
TitleTREASURERTitle
Phone2146483572Phone
Date Signed2014-04-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDANIEL M STEWARTName
PTINP00415184PTIN
Phone8173327905Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonARNIM DONTESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15323 HARRY HINES BLVDAddressLine1
CityDALLASCity
StateTXState
ZIP Code75390ZIPCode
FieldValueIRS element (for citing)
Gross Receipts31080989GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTHE CORPORATION IS ORGANIZED AND OPERATED FOR THE BENEFIT OF UT SOUTHWESTERN MEDICAL CENTER IN TARRANT COUNTY, TEXAS, IN ORDER TO FURTHER THE PURPOSES AND FUNCTIONS OF THE UT SOUTHWESTERN MEDICAL CENTER. THIS PURPOSE INCLUDES THE OPERATION OF UT SOUTHWESTERN MONCRIEF CANCER CENTER AT FORT WORTH, A RELATED SECTION 501(C)(3) ORGANIZATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers3TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7500ContributionsGrantsPriorYear
Contributions Grants Current Year7500ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1250247InvestmentIncomePriorYear
Investment Income Current Year3959348InvestmentIncomeCurrentYear
Other Revenue Prior Year4475OtherRevenuePriorYear
Other Revenue Current Year4766OtherRevenueCurrentYear
Total Revenue Prior Year1262222TotalRevenuePriorYear
Total Revenue Current Year3971614TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year15015929GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4887873GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year618182OtherExpensePriorYear
Other Expenses Current Year667486OtherExpensesCurrentYear
Total Expenses Prior Year15634111TotalExpensesPriorYear
Total Expenses Current Year5555359TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-14371889RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1583745RevenuesLessExpensesCY
Total Assets BOY76802298TotalAssetsBOY
Total Assets EOY81877944TotalAssetsEOY
Total Liabilities BOY17139826TotalLiabilitiesBOY
Total Liabilities EOY19049390TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY59662472NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY62828554NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE CORPORATION IS ORGANIZED AND OPERATED FOR THE BENEFIT OF UT SOUTHWESTERN MEDICAL CENTER IN TARRANT COUNTY, TEXAS, IN ORDER TO FURTHER THE PURPOSES AND FUNCTIONS OF THE UT SOUTHWESTERN MEDICAL CENTER. THIS PURPOSE INCLUDES THE OPERATION OF UT SOUTHWESTERN MONCRIEF CANCER CENTER AT FORT WORTH, A RELATED SECTION 501(C)(3) ORGANIZATION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4887873Expense
Grants4887873Grants
DescriptionCONTRIBUTIONS TO THE UT SOUTHWESTERN MONCRIEF CANCER CENTER AT FORT WORTH TO FUND OPERATIONAL EXPENSES: MONCRIEF CANCER FOUNDATION SUPPORTS UT SOUTHWESTERN'S CANCER-RELATED ACTIVITIES IN THE TARRANT COUNTY AREA, ENSURING ACCESS TO SPECIAL DIAGNOSTIC AND GENETIC TESTS THAT ARE OTHERWISE UNAVAILABLE, AS WELL AS IMPORTANT SUPPORT SERVICES FOR INDIVIDUAL PATIENTS AND THEIR FAMILIES.Description
Total Program Service Expense4887873TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryBDNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ARNIM DONTESBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2146483572TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15323 HARRY HINES BLVDAddressLine1
CityDALLASCity
StateTXState
ZIP Code75390ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
KERN WILDENTHAL MD PHD
CHAIRMAN1.00XX074785742322
WA MONCRIEF JR
PRESIDENT1.00XX000
WILLIS MADDREY MD
VICE CHAIRMAN1.00XX056522346161
DEE J KELLY ESQ
VICE PRESIDENT/SECRETARY1.00XX000
DONALD SELDIN MD
BOARD MEMBER1.00X02459000
WILLIAM E TUCKER PHD
BOARD MEMBER1.00X000
DANIEL K PODOLSKY MD
SOLE MEMBER1.00X01466996131699
MICHAEL SERBER
ASSISTANT SECRETARY1.00X022897853718
ARNIM DONTES
TREASURER1.00X047311829977
JOHN A ROAN
FORMER TREASURER0.00020207413399X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3930146TotalReportableCompFrmRltdOrgs
Total Other Compensation317276TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WILKINSON O'GRADY & CO INC
499 PARK AVE 7TH FLOORNEW YORKNY10022PORTFOLIO MANAGEMENT241838
Q INVESTMENTS
301 COMMERCE STREET SUITE 320FORT WORTHTX76102PORTFOLIO MANAGEMENT145233
LUTHER KING CAPITAL MANAGEMENT
301 COMMERCE STREET SUITE 1600FORT WORTHTX76102PORTFOLIO MANAGEMENT112519
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions7500AllOtherContributions
Total Contributions7500TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1178981TotalRevenueColumn
Exclusion$1,178,981ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column1495TotalRevenueColumn
Exclusion$1,495ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities29889742Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities27109375Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2780367Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2780367TotalRevenueColumn
Exclusion$2,780,367ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionSECURITIES SETTLEMENTDescription
Business Code523000BusinessCode
Total Revenue Column3271TotalRevenueColumn
Exclusion$3,271ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3271TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3971614TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,964,114ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total4887873Total
Program Services4887873ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total47461Total
Management And General47461ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total28750Total
Management And General28750ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total340783Total
Management And General340783ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total166627Total
Management And General166627ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3407Total
Management And General3407ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
BANK CUSTODIAL FEES8009080090
MISCELLANEOUS EXPENSE368368

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5555359Total
Program Services4887873ProgramServices
Management And General667486ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY212042BOY
EOY430911EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1273538BOY
EOY8544074EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8332BOY
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY54568085BOY
EOY55712680EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY20661422BOY
EOY17114578EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY78879BOY
EOY75701EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY76802298BOY
EOY81877944EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY139826BOY
EOY49390EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY17000000BOY
EOY19000000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY17139826BOY
EOY19049390EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY59662472BOY
EOY62828554EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY59662472BOY
EOY62828554EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY76802298BOY
EOY81877944EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1583745ReconcilationRevenueExpenses
Reconciliation Unrealized Invest4749827ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee0AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1UT SOUTHWESTERN MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
EIN756002868EIN
Type Of Organization7TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$4,687,873Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts4687873SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
COLLECTIVE TRUST FUND11200883F
FIXED INCOME HEDGE FUND5913695F
FieldValueIRS element (for citing)
Total Of Book Value Securities17114578TotalOfBookValueSecurities
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt8380658TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments4749827NetUnrealizedGainsInvestments
Revenue Not Rptd F9904749827RevenueNotRptdF990
Revenue Subtotal3630831RevenueSubtotal
Other Revenues Not Included340783OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt340783RevenueNotRptdOnFinStmt
Total Revenue Per Form9903971614TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5214576TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal5214576ExpensesSubtotal
Other Expenses Not Included340783OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt340783ExpensesNotRptdOnFinStmt
Total Expenses Per Form9905555359TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:TAX POSITIONS TAKEN RELATED TO THE FOUNDATION'S UNRELATED BUSINESS INCOME AND ITS TAX EXEMPT STATUS AS A NONPROFIT ORGANIZATION FOR FEDERAL TAX PURPOSES HAVE BEEN REVIEWED, AND MANAGEMENT IS OF THE OPINION THAT MATERIAL POSITIONS TAKEN BY THE FOUNDATION WOULD MORE LIKELY THAN NOT BE SUSTAINED BY EXAMINATION. ACCORDINGLY, THE FOUNDATION HAS NOT RECORDED AN INCOME TAX LIABILITY FOR UNCERTAIN TAX BENEFITS. AS OF AUGUST 31, 2013, THE FOUNDATION'S TAX YEARS 2010 AND THEREAFTER REMAIN SUBJECT TO EXAMINATION.
PART XI, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT FEES NETTED AGAINST INCOME 340,783.
PART XII, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT FEES NETTED AGAINST INCOME 340,783.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
UT SOUTHWESTERN MONCRIEF CANCER CENTER
400 W MAGNOLIA AVEFORT WORTHTX76104756002868501(C)(3)2687873OPERATIONAL SUPPORT
TCU HARRIS COLLEGE OF NURSING AND HEALTH SERVICES
2800 WEST BOWIE STREET STE 214AFORT WORTHTX76109750827465501(C)(3)200000ONCOLOGY FACULTY SUPPORT
UT SOUTHWESTERN MONCRIEF CANCER CENTER
400 W MAGNOLIA AVEFORT WORTHTX76104752655008501(C)(3)2000000CONSTRUCTION COSTS FOR MONCRIEF CANCER CENTER'S NEW BUILDINGRESEARCH
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KERN WILDENTHAL MD PHD
CHAIRMAN043632300031153403739004932079017900
WILLIS MADDREY MD
VICE CHAIRMAN04343030130200072003761108550061138400
DONALD SELDIN MD
BOARD MEMBER0190000055900000000024590000
DANIEL K PODOLSKY MD
SOLE MEMBER09212830259239028647401212500104490159869500
MICHAEL SERBER
ASSISTANT SECRETARY020397802500000043269010449028269600
ARNIM DONTES
TREASURER036635608104202572002125008727050309500
JOHN A ROAN
FORMER TREASURER01222070007986701058102818021547300

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6THE PRESIDENT OF UT SOUTHWESTERN MEDICAL CENTER, CURRENTLY DR. DANIEL PODOLSKY, IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE MEMBER OF THE ORGANIZATION HAS AUTHORITY TO APPOINT AND/OR REMOVE ANY MEMBER OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11ORGANIZATION PROVIDES AUDITED FINANCIAL STATEMENTS AND SUPPORTING DOCUMENTATION UPON WHICH DRAFT 990 IS PREPARED. THE 990 IS REVIEWED BY MICHAEL SERBER, ASSISTANT SECRETARY AND ARNIM DONTES, TREASURER AND THEN SUBMITTED TO DR. WILLIS MADDREY, VICE CHAIRMAN FOR REVIEW. THE FORM 990 IS THEN SIGNED BY ARNIM DONTES, TREASURER.
FORM 990, PART VI, SECTION B, LINE 12CMONCRIEF CANCER FOUNDATION HAS A WRITTEN CONFLICT OF INTEREST POLICY WHICH REQUIRES THE DIRECTORS AND OFFICERS TO SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE THEN REVIEWED BY THE BOARD. ANYONE WITH A CONFLICT IS RECUSED FROM DISCUSSION AND VOTING ON THE TRANSACTION, WITH THE CONFLICT BEING DOCUMENTED IN THE MINUTES. THE CONFLICT OF INTEREST STATEMENTS ARE A PART OF THE MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, FORM 1023, AND FORM 990 ARE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
UT SOUTHWESTERN MONCRIEF CANCER CENTER
400 W MAGNOLIA AVEFORT WORTHTX76104752655008TO PROVIDE COUNSELING AND SUPPORT RESOURCES TO CANCER PATIENTS AND FAMILIESTX501(C)(3)509(A)(1)0
UT SOUTHWESTERN MEDICAL CENTER SYSTEM
5323 HARRY HINES BLVDDALLASTX75390756002868MEDICAL CARE PROVIDERTX501(C)(3)LINE 60
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
UT SOUTHWESTERN MONCRIEF CANCER CENTER
B4687873
UT SOUTHWESTERN MEDICAL CENTER
O4247422